Maverick Optical Llc
LBN: Maverick Optical Llc
Maverick Optical Llc is an health care organization with primary practice located at 1937 Old Main St Ste 2 , Maysville KY 41056-8956. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty.
Maverick Optical Llc can be contacted via phone (606) 759-7311, or through Peck, Joyce via phone (606) 564-8794.
Contact Information
Primary practice address
1937 Old Main St Ste 2
Maysville KY 41056-8956
Phone: (606) 759-7311
Fax: (606) 759-0610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 110718 | Kentucky |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 110718 | Kentucky |
Profile Details
| NPI number | 1982121570 |
|---|---|
| LBN Legal business name | Maverick Optical Llc |
| DBA Doing business as | |
| Authorized official | Peck, Joyce LDO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982121570 | NPPES |
| Other | 1093159626 | NPI | |
| MEDICAID | 7100246390 | NPI | |
| Other | 1427041037 | NPI | |
| MEDICAID | 52000155 | NPI |
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